Zaontz M R
Division of Urology, Children's Memorial Hospital, Chicago, Illinois.
J Urol. 1989 Feb;141(2):359-61. doi: 10.1016/s0022-5347(17)40766-x.
A modified glanuloplasty is described for the selective repair of glanular and coronal hypospadias with a wide, deep glanular groove and noncompliant urethral meatus. No urinary diversion is required, and cosmetic and functional results are excellent. A total of 24 children underwent the GAP (glans approximation procedure) during 20 months. Followup ranged from 3 months to 1.5 years with no evidence of meatal or urethral stenosis. One distal glanular fistula developed that required division of a 2 mm. skin bridge that separated the fistulous opening from the neomeatus.
本文描述了一种改良的龟头成形术，用于选择性修复伴有宽而深的龟头沟和尿道外口顺应性差的龟头型和冠状沟型尿道下裂。无需尿路改道，美容和功能效果均极佳。在20个月内，共有24名儿童接受了GAP（龟头靠拢手术）。随访时间为3个月至1.5年，未发现尿道外口或尿道狭窄的迹象。出现了1例远端龟头瘘，需要分离将瘘口与新尿道外口隔开的2毫米皮肤桥。
